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Organization

PRIMO CARE FOR SENIORS

Active
Other names
Primo care
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PENNY JOYCE WALKER (EXECUTIVE DIRECTOR)
(917) 299-5959
Entity
Organization

Contact information

Practice address
21910 S CONDUIT AVE, SPRINGFIELD GARDENS, NY 11413-3462
(917) 299-5959
Mailing address
11145 180TH ST, JAMAICA, NY 11433-4130
(917) 299-5959

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
272627-1
NY
311ZA0620X
Adult Care Home Facility
347C00000X
Private Vehicle

Other

Enumeration date
04/03/2013
Last updated
04/03/2013
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